IAN DAVID BARONOFSKY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035632

License Status

EXPIRED

Business

First Name

IAN

Middle

DAVID

Last Name

BARONOFSKY

Suffix

Business Name

IAN DAVID BARONOFSKY MD

Original Issue Date

04/01/1997

Effective Date

04/01/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006